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50 Cards in this Set
- Front
- Back
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Green stick fracture |
(Common in children) incomplete fracture but only bent on one side |
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Comminuted fracture |
Bone is broken or crushed into smaller pieces. |
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Compound fracture |
Bone breaks through skin (remember to assess distal pulse) |
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Fracture healing stage 3 |
Callus formation 1-4 weeks after injury granulation serves as a temp splint |
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Osteomyelitis- infection of bone and muscle |
Antibiotic use to remove dead bone |
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IV antibiotics |
Given 4 to 8 weeks followed by 4bto 8 weeks of oral meds |
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Symptoms of fat embolism |
Respiratory distress tachycardia tachyapneia fever confusion decreased level of consciousness |
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Compartment syndrome |
Increased pressure Complications from internal or external pressure on affected area |
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Internal fixation |
Use of rods pins nails and screws to align bone |
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External fixation |
Are inserted directly into bone fragment above and below the fracture |
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Pt teaching |
Report to dr swelling discoloration to toe finger pain burning Pt understands upon DC when get home to elevate rest arm above heart |
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Linen |
Make sure bed is wrinkle free to prevent skin breakdown |
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Cast syndrome |
Pt complain of abdominal distention nausea |
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Russell traction |
Main priority to prevent dvt |
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Ps has fallen. Hx of osteoporosis and sustain a sub capital femoral fracture orif |
? |
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Bucks traction |
5 to 10 lbs weight only
Hip and knee contractors muscle spasm and alignment Keeps in place |
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Skeletal traction |
Provides steady continuous pull and can be used for prolonged periods Less than 3 cap refill is ok |
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Traction |
Weights must hang freely |
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2 point gait |
Crutch a d opposite foot advanced at Same time |
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4 point gate |
The rt crutch is advanced then LT foot then left crutch the rt foot |
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Canes |
Provide minimal support and balance and relived pressure on weight bearing joint place on unaffected area with the top even with pt |
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Fracture of hip |
1 hip shorter than other Assessing older woman of fall and complain of left hip pain left hip shorter call emt |
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Fracture of pelvis |
Asses UA output because the absence of UA indicate a perforated bladder
More than 8 hours of no UA call dr |
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Ambulation for fracture of the pelvis |
Nursing intervention when pt on ambumating keep pt hydrated with fluids and proper fiber 2,000 to 3,000 ml of fluids |
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Elbow disk articulation where more severed at |
Elbow joint |
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What population has highest of upper extremities amputations trauma |
Young men or young adults |
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Know all 4 traumas |
? |
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Pt has pvt |
Encourage to stop smoking |
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Close amputations? |
Create a weight bearing residual lump important for lower extremitie amputation |
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Prosthesis |
A limp prosthesis may be placed while pt is still in operating room |
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Ridgid dressing |
Apply to hold prosthesis in place |
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Up and walking after 3 months |
? |
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See page 3pw myoelectrically control prostesis |
Control muscle movement |
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Greatest danger orcomplication of amputation |
Hemorrhage or hematoma |
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Primary nursing action physical examination assess capillary refill |
Less than 3 bad |
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Late sign of cyonotic tissue |
Hypotention |
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Signs of bright red bleeding |
Call dr |
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Pt complain of pain 24hr after amputation |
Keep pain under control Assess pain By giving rX |
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Pt encourage to become mobile to prevent calcium and protein loss |
Ambumation 30 min a day |
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Zinc protein vitamin c? |
Promote wound healing |
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Nursing care for replantaion of hand |
Inform pt to keep hand elevated below the heart |
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Emergency care |
Have pt with amputated finger wrap part in clean normal saline gauze Amputated leg Wrap in clean plastic bag in ice |
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Reinforce dressing if |
Becomes saturated by blood |
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Have pt going for BKA what is the preoperative test diagnostic for pt |
WBC pulse volume reporting |
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Postoperative nursing care assessment |
Vital signs in and out level of consciousness |
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Postoperative nursing care assessment |
Report limb color cap refill tutor temp and sensation |
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Post op care if in cast |
Hourly neurovascular assessment of limb doppler pulse ox meter to evaluate circulation |
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Remove prostesis if |
Pt complain of pain or redness and notify MD |
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Have Jewish pt and has amputation what do they do with limb ? |
They make a funeral service |
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Pt complaining of sob and chest pain |
Fat embolism |
